GSSC Application For
Employment

EOE/AA/M/F/D/V Employer

GSSC is an equal opportunity employer and complies
with all applicable laws prohibiting discrimination on the basis of such
factors as race, color, creed, religion, national origin, sex, sexual
orientation, disability, age, familial status, marital status, or status with
regard to public assistance or membership or activity in a local commission as
defined and otherwise prohibited by federal, state and local civil/human rights
laws.

Work Location:

MPLS/St. PaulDuluthSt. CloudFargoWisconsinMichigan

Date:

First Name

Middle Name

Last Name

Last 4 Social Security Number

Address

City

State

Zip Code

Phone Number

Email Address

Have you ever been employed by GSSC before?

If Yes, please give dates:

Are you 18 or older?

Are any of your relatives current or former employees of GSSC?

If Yes, what is their name?

How were you referred to GSSC? (Give website, newspaper or name of employee)

Position Information:

Position Desired:

Salary Expected:

Applying for:

Full TimePart TimeSeasonal

Date you can begin working:

If you can work any days/any hours/any shifts, please check box:

Available/Open

Please specify hours available for work: (Inability to work certain day/hours will not necessarily disqualify you from employment.) Be sure to indicate A.M or P.M.

Mon:

Tues:

Wed:

Thurs:

Fri:

Sat:

Sun:

Military Service Record:

Have you ever served in the Armed Forces of the United States?

If so, complete the following:

Branch of Service

Rank at Discharge:

Honorable Discharge?

State duties or specialized training

Education:

High School (Name and Address):

Number of years completed:

Graduated? (Yes/No)

Course of Study/Major/Degree/Certification

College (Name and Address):

Number of years completed:

Graduated? (Yes/No)

Course of Study/Major/Degree/Certification

Other (Name and Address):

Number of years completed:

Graduated? (Yes/No)

Course of Study/Major/Degree/Certification

Credentials and Special Skills

Use the space below to describe any special skills, training or qualifications you have related to the position:

Background Information:

During the past five years, have you been discharged, suspended or asked to resign or any reason from any position?

If yes, please explain

For the purpose or verifying information on this application, have you ever worked or attended school under a different name at any of the organizations you have listed?

Employment Record:

List all employment experience for the past five years, starting with the most recent or present employer.

Employer

Supervisor

Supervisor Title

Address

Telephone

From (Month, Year)

To (Month, Year)

Starting Salary

Last Salary

Title

Duties performed

Reason for leaving

Employer

Supervisor

Supervisor Title

Address

Telephone

From (Month, Year)

To (Month, Year)

Starting Salary

Last Salary

Title

Duties performed

Reason for leaving

Employer

Supervisor

Supervisor Title

Address

Telephone

From (Month, Year)

To (Month, Year)

Starting Salary

Last Salary

Title

Duties performed

Reason for leaving

References:

Give the name of three references we may contact. Two of the three must be work related. If you do not have three references, please type N/A in the box.

Name of reference

Phone number

Relationship to reference

Name of reference

Phone number

Relationship to reference

Name of reference

Phone number

Relationship to reference

May we contact your current and/or previous employers?

If NO, whom do you wish us NOT to contact?

During the past five years, have you had any periods of unemployment?

If Yes, please note dates and explain:

Upload Resume Here:

Authorization and Understanding:

Please read the following statement and digital sign below.

I certify that information
given in this Application and related documentation is true and complete
without qualification. I understand that General Security Services Corporation
(GSSC) may investigate my work and
personal history and verify all data given on this Application, on related
papers, and in interviews, and I authorize GSSC to do the same. This inquiry
may include information as to my character, general reputation and personal
characteristics, and I consent to the conduct of
this inquiry and to the consideration of
any statements or references by former employers that are given in
response to the inquiry.I authorize all
individuals, schools and employers named, except as specifically limited on
this Application, to provide information requested about me, and I release them
from liability for damages in providing this information.I understand and acknowledge that, if hired,
any misrepresentation or omission of fact by me, no matter when discovered, can result in immediatedischarge.

I also understand and
acknowledge that, if hired, my employment and compensation will be at will of
General Security Services Corporation and can be terminated, with or
without cause, and with or without
notice, at any time at the option of
either GSSC or myself. I further understand and agree that no manager,
representative, agent or employee of GSSC,
other than its President, has now or has in the past any authority to enter into any agreement for employment for any specified period of time or
to make any agreement which is contrary to or a modification of the above described employment
relationship, and that any such agreement must be in writing and signed by both
myself and the President of General
Security Services Corporation in order to beeffective.

I further understand and
acknowledge that, as part of the hiring process and throughout my
employment, if hired, I may be required to submit to medical/physical
examinations (which may include tests for drugs and/or alcohol) at the employer’s discretion andexpense.

In addition, I understand that
I may be hired subject to subsequent verification and review of the information provided by me during
the application process by GSSC and/or one or more of its clients/customers, that my employment and conditions of
employment may be subject to the terms of a
contract between GSSC and one or more of its
clients/customers, and that my employment or assignment, or the condition of either, may be subject to the sole
discretion and approval by either GSSC or the clients/customers to whose facilities I may beassigned.

Applicant Digital Signature (Please type your name)

Date

This Application will only be
considered for the 60 calendar day
period after its receipt by General Security Services Corporation. Should you wish to be considered after the expiration
of this period, you mustreapply.